出血性卒中辨证分型与颅脑CT征象相关性的研究

Study on the relationship between the TCM type of syndrome and brain CT signs of hypertensive cerebral hemorrhage

目的探讨出血性卒中辨证分型与颅脑CT征象的相关性,为中医临床辨证施治提供客观依据。方法收集153例72h内出血患者临床资料及CT影像资料,通过SPSS软件进行统计学分析比较相关性。结果出血性脑卒中各证型在脑出血量、水肿/血肿、出血部位、中线结构是否移位及是否破入脑室方面的差异具有统计学意义。结论颅脑CT为中医辨证提供了客观、直接的量化指标,能够进一步提高出血性脑卒中的辨证论治水平。

Objective To investigate the relationship between the different TCM syndrome and the brain CT signs of hypertensive cerebral hemorrhage and provide the objective evidence for the TCM treatment after syndrome differentiation.Methods The clinical and CT imaging data of 153 cases with hypertensive cerebral hemorrhage,which occurred less than 72 hours,were retrospectively analyzed,and the relationship between the different TCM syndrome and the brain CT signs were summarized by statistically analysis using SPSS software.Results Significant differences were found about the brain hemorrhage volume,the ratio of hematoma to edema,the location of the hemorrhage,and whether the central line structure was shifting,or was broken in ventricle.Conclusion Cerebral CT scan can provide objective and quantitative evidence for TCM syndrome estimation,and thus can increase the level of the TCM treatment after syndrome differentiation for hypertensive cerebral hemorrhage.